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Exam (elaborations)

NUR 138 EXAM 1 PART 1 QUESTIONS WITH 100% CORRECT ANSWERS

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NUR 138 EXAM 1 PART 1 QUESTIONS WITH 100% CORRECT ANSWERS

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The nurse is caring for a patient who is showing signs of depression and lethargy
while in the hospital recovering from surgery. Which action(s) suggest the nurse
follows Florence Nightengale's Environmental Theory Model?


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1. The nurse allows the patient to watch television for two hours each day.


2. The nurse opens the blinds to allow bright light into the room.


3. The nurse attempts to tell the patient a joke to lighten his/her mood.

, 4. The nurse takes the patient outside in a wheelchair for fresh air.




According to nursing practice, to prevent illness a nurse would advise the patient to


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1. Exercise on a regular basis


2. Receive updated immunizations

3. Eat a well balance diet

4. Obtain yearly checkups




A 43-year old patient has recently been diagnosed with thyroid cancer. During a
clinical visit to discuss treatment, the patient exclaims to the nurse, "I do not know
what I have done to offend the spirits so that they cursed me with this illness! I must
appease them by performing a cleansing ritual each morning and they will cure me of
this darkness. I do not need radiation." The nurse understands the patient's magico-
religious health belief, so their most likely response is:


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That is ridiculous. Cancers are caused by cell mutations, not spirits!
I completely understand your concern. We will wait for your rituals to work
before proceeding with treatment options.
I completely understand your concern. We should discuss your treatment
options that can coincide with your cleansing rituals.
I completely understand your concerns, but you should always do what
your doctor says when battling cancer.

,What should the nurse do first to help alleviate the stress of a worried patient only just
diagnosed with Crohn's disease?


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1. The nurse should provide the patient statistics about the survival rate of
other patients with Crohn's disease.
2. The nurse should give the patient further information about the
treatments that the gastroenterologist has just recommended.
3. The nurse should find out what social support the patient has to
encourage and support the patient at this time.
4. The nurse should ask the patient what immediate concerns and worries
the patient has at the present time.




A nurse is confronted with a patient who suddenly stops breathing after hip
replacement surgery. Which of the following is not an example of a measure used to
prevent the measure of hospital performance known as "failure to rescue"?


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Lowering the patient-to-nurse ratio
Recognizing complications
Teaching illness-prevention-techniques to patients
Anticipating possible complications




Tom, the Emergency Department charge nurse, is concerned about a recent increase
in readmission of patients for improper wound care. He asks staff to track the number
of return patients who are being seen for errors in following discharge instructions
and/or prescription labels. After he receives the requested data from staff, what is the
next step in the Evidence Based Practice?


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, Tom needs to implement a department wide policy.
Tom needs to critically analyze the evidence.
Tom should design a change to ensure that proper teaching is completed
prior to discharge.
Tom should assess the need for change in the Emergency Department.




A patient is admitted to the emergency department and is showing signs of confusion,
agitation, and combativeness. How should the nurse first respond to this patient's
behavior?


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1. Have the patient transferred to another nurse colleague that can better
deal with the behavior.

2. Administer a sedative to help alleviate the patient's confusion and
agitation.


3. Attempt to soothe the patient and keep them as calm as possible without
sedation.

4. Refer the patient to a psychiatric nurse to perform a psychiatric
evaluation for the erratic behavior




According to a survey in 2006 of 331 registered nurses, what is the quality that they
considered to be the most important as far as having the greatest effect on the
professional image as a nurse?


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a) How skilled they appeared to be at their jobs.


b) How nurses presented themselves to the patient and their family.

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